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TransformingLives
CDE November Public Webinar
November 15, 2018
PO Box 45050, Olympia, WA 98504 | www.dshs.wa.gov
211/15/18
What is the CDE?
The Consumer Directed Employment project will transfer the administrative functions and responsibilities of Individual Provider (IP) management from DSHS and AAA case management staff to the Consumer Directed Employer.
Vision
More Time and Efficiency
• Case management staff will have more time to work with participants to support activities that maintain their health and well-being
• Participants will have more time from case managers
• IPs will work with a single entity for payroll, tax reporting, credentialing and other concerns
311/15/18
TransformingLives
CDE Project Update
11/15/18 4
11/15/18 5
• Organization Change Management (OCM) Plan approved
• Distributed Stakeholder and Tribal Engagement Report • Posted Talking Points #4• Information table at October HCS Case Manager
Conference• Participated in Tribal Summit on 11/1/18• Posted answers to 308 questions from potential
bidders about the Request for Proposal (RFP)• Finished staff listening sessions
Recent Accomplishments
11/15/18 6
• Continued development of readiness tools• Preparation for RFP evaluations• Ongoing communication and outreach activities• Continue developing transition plans
Upcoming Tasks
10/18 6/1911/18 12/18 1/19 2/19 3/19 4/19 5/19
10/1/2018 - 1/3/2019
Bidder Response Prep
10/10
Bidder Conference
10/1
RFP Published
1/4
Proposals Due
10/17/2018
Questions Due
11/9/2018
Publish Q&A1/7 - 1/11
Administrative Review
1/14 - 2/15
Written Eval
2/25 - 2/27
Oral Pres
3/4/2019
Announce ASB
3/20 - 5/3
Contract Negotiations
5/10
Contract Executed
Procurement Timeline
11/15/18 7
REMINDER: Procurement Protocols
11/15/18 8
In order to ensure a fair and transparent procurement process, DSHS has adopted rules that govern how communications are to be handled.
During an active procurement, all communications from potential bidders or interested parties are to flow through the DSHS procurement coordinator.
If you receive a question or contact from a potential bidder on the CDE RFP, please direct them to:
James O’Brien, DSHS RFP CoordinatorTelephone: (360) 664-6055
Email: [email protected]
TransformingLives
11/15/18 9
Organizational Change Management
1011/15/18
What & Why of OCMWhat is OCM?
• The people side of change
• Structured process and set of tools
Why do OCM on a project?
• Prepared people = • Increased productivity and improved outcomes
• Mitigated negative consequences
1111/15/18
Changes are coming
The CDE Project involves:• Stopping of some processes• Starting new processes • Augmenting existing processes• Stakeholder relationships
CDE is a significant project with significant organizational change expected.
How IPs will Interact with the CDE
11/15/18 12
Referral of IP to CDE
CDE Services
Provider and Consumer Support
Hiring
EVV and Other Systems
Payroll
Coordinating HoursAssignment
Credential Monitoring
Taxes
Recruiting and Retention
DSHS Client IP
IP Becomes a CDE Employee
$
13
Prosci® - ADKAR: Building Blocks for Change
11/15/18
14
Prosci® - ADKAR: Building Blocks for Change
11/15/18
11/15/18 15
Data, Data, Data
The CDE Project will use data to measure:• What’s done/left to do
• What else needs attention
• How ready are staff and the organization
• How ready are providers and consumers
New Communication Materials
1611/15/18
Talking Points #4
Stakeholder and Tribal
Engagement Report
Webinar materials
Listening Sessions Themes
1711/15/18
1. Desire for smooth transition
2. Need for good communication protocols between all parties
3. Want more time for true case management
4. It is important that the CDE recognize and actively address Limited English Proficiency (LEP), cultural difference, and lack of access to technology
5. Recognition of need to maintain and grow the IP workforce
6. Importance of the CDE providing good customer service to consumers and IPs
TransformingLives
Questions from the October Webinars
11/15/18 18
11/15/18 19
Q: Will the CDE take over the HCRR for linking clients with potential IPs?
A: Yes, the CDE will provide clients with the names of potential IPs. The referral registry functions will be absorbed by the CDE. Carina will continue to be the database for providers and clients looking for additional work or available providers. The CDE will contribute names to Carina as part of its recruiting and capacity expansion requirements.
11/15/18 20
Q: When a client goes to the hospital or leaves the state or country, will they be required to inform CM, CDE or both?
A: They will inform both the Case Manager and the CDE.
11/15/18 21
Q: Will implementation of the CDE result in more delegated providers?
A: We do not anticipate that there will be an increase to the number of delegated providers.
11/15/18 22
Q: How would a client access a nurse for nurse delegation, through the CDE or through the case manager?
A: The case manager will continue to do the authorizations to the nurse delegator.
11/15/18 23
Q: Will providers of the CDE still be able to provide self-directed care?
A: Yes. Self-directed care will continue to be available under the requirements outlined in RCW 74.39.050.
11/15/18 24
Q: What is the CDE’s role in collecting client responsibility?
A: As the IP’s employer, the CDE must pay the providers for all hours worked. In order to do so, the CDE will pay the IP the total amount due and collect the client responsibility amount directly from the consumer. There is an expectation that the CDE will work with clients who are not paying their client responsibility in an attempt to prevent the discontinuation of services.
11/15/18 25
Q: May a consumer continue to receive services from his/her current IP after the CDE is implemented?
A: Yes. All current, qualified IPs will be hired by the CDE.
2611/15/18
Next webinars: 12/20/18 @ 2:00pm1/22/19 @ 10:00am2/19/19 @ 2:30pm
Please send any suggestions you have to improve the Webinars to:
Stay Connected
11/15/18 27
Sign up for GovDelivery:
https://public.govdelivery.com/accounts/WADSHSALTSA/subscriber/new
Select Consumer Directed Employer under “News and Resources”
Visit the CDE Website: https://www.dshs.wa.gov/altsa/cde
Email the Project: [email protected]
TransformingLives
Marilee FosbreCDE Project Director
Dennis ElonkaCDE Project Manager
Kindra BenavidezOrganizational Change [email protected]
PO Box 45050, Olympia, WA 98504 | www.dshs.wa.gov